IV fluids & fluid balance worksheet with answers

Free printable IV fluids & fluid balance worksheet: 6 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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Name: ____________________   Date: ____________

1.Easy
maintenance4-2-1? mL/h4 kg

Practice exercise (made-up values, not clinical guidance). Use the Holliday–Segar 4-2-1 rule to find the hourly maintenance fluid rate R in mL/h for a child who weighs 4 kg.

4 kg4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h43 kg

Practice exercise (made-up values, not clinical guidance). Use the Holliday–Segar 4-2-1 rule to find the hourly maintenance fluid rate R in mL/h for a child who weighs 43 kg.

43 kg4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shiftmilk240 mLjelly100 mLice chips100 mLIV infusion75 mL/h × 8 hIV antibiotic2 × 100 mLurine150 mLurine250 mL

Practice exercise (made-up values, not clinical guidance). The record shows a patient's intake and output for one 8-hour shift. The IV infusion ran at the rate shown for the whole shift. Find the fluid balance B = intake − output in mL (a negative answer means a net loss). Count ice chips as half their volume.

milk: 240 mLjelly: 100 mLice chips: 100 mLIV infusion: 75 mL/h × 8 hIV antibiotic: 2 × 100 mLurine: 150 mLurine: 250 mL
B = mL
4.Medium
IntakeOutput12-hour shiftjuice150 mLtea240 mLice chips200 mLIV infusion100 mL/h × 12 hIV antibiotic2 × 100 mLurine250 mLurine325 mLurine400 mLwound drain30 mL

Practice exercise (made-up values, not clinical guidance). The record shows a patient's intake and output for one 12-hour shift. The patient weighs 47 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

47 kg12 hurine: 250 mLurine: 325 mLurine: 400 mLwound drain: 30 mL
U = mL/kg/h
5.Hard
1000 mL100 mL/hstart 06:3010:30: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 06:30 and runs by pump at 100 mL/h. How many mL V are left in the bag at 10:30?

1000 mL100 mL/h06:30 → 10:30
V = mL
6.Hard
1000 mL150 mL/hstart 07:0013:00: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 07:00 and runs by pump at 150 mL/h. How many mL V are left in the bag at 13:00?

1000 mL150 mL/h07:00 → 13:00
V = mL

Answer key

  1. 1. R = 16 mL/h
  2. 2. R = 83 mL/h
  3. 3. B = 790 mL
  4. 4. U = 1.73 mL/kg/h
  5. 5. V = 600 mL
  6. 6. V = 100 mL

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